DIGEST
The digest printed below was prepared by House Legislative Services. It constitutes no part of the
legislative instrument. The keyword, one-liner, abstract, and digest do not constitute part of the law
or proof or indicia of legislative intent. [R.S. 1:13(B) and 24:177(E)]
HB 690 Original 2017 Regular Session Hunter
Abstract: Requires administrative rulemaking by the La. Dept. of Health to provide for continuity
of care for persons receiving publicly funded healthcare services through federally qualified
health centers, rural health clinics, and the Medicaid managed care program.
Proposed law applies to the following healthcare providers:
(1)Federally qualified health centers (FQHCs).
(2)Rural health clinics.
(3)Medicaid managed care organizations (MCOs).
Proposed law requires the La. Dept. of Health (LDH) to provide through administrative rulemaking
for care coordination and continuity of care for patients in the event that an FQHC or rural health
clinic closes.
Proposed law requires LDH to provide through administrative rulemaking that each Medicaid MCO
implement policies and procedures for care coordination and continuity of care for enrollees.
Provides that, at minimum, the rules shall require that such policies and procedures include
provisions to ensure that each enrollee has an ongoing source of preventive and primary care
appropriate to his needs.
Proposed law authorizes LDH to establish, through administrative rules, procedures for any of the
following:
(1)Assisting an enrollee receiving treatment for chronic or acute medical conditions, or for
behavioral health conditions, in transitioning to another provider when the enrollee's
healthcare provider has terminated participation with the managed care organization.
(2)Providing written notice of the termination of participation with a managed care organization
by a provider to each enrollee who received his primary care from or was seen on a regular
basis by the provider.
Proposed law requires the secretary of LDH to initiate the promulgation of rules required by
proposed law through the notice of intent process provided for in present law (R.S. 49:953(A)) on
or before Sept. 20, 2017. Proposed law stipulates that prior to publishing a notice of intent for any rule required by proposed
law, the secretary of LDH shall cause the notice to be transmitted to each member of the legislative
committees on health and welfare.
Proposed law provides for redesignation and organization by the La. State Law Institute of certain
segments of present law and proposed law relative to FQHCs and rural health clinics.
(Adds R.S. 40:1186.1 and 1186.2 and R.S. 46:460.53)